Am. J. Respir. Crit. Care Med., Vol 154, No. 5, 11 1996, 1261-1266.
Exposure to bacteria in swine-house dust and acute inflammatory reactions in humans
W Zhiping, P Malmberg, BM Larsson, K Larsson, L Larsson and A Saraf
National Institute for Working Life, Solna, Sweden.
Inhalation of swine-house dust may cause an acute airway inflammatory
condition (organic dust toxic syndrome). Thirty-eight healthy subjects were
exposed to swine dust while weighing swine for 3 h. We studied the
correlation between acute health effects and the inhaled bacterial exposure
markers peptidoglycan (the main constituent of the cell walls of
gram-positive bacteria, but also present in lesser amounts in gram-
negative bacteria) and lipopolysaccharides (LPS; present only in gram-
negative bacteria). LPS activity in airborne dust was measured with the
Limulus amebocyte lysate assay (LPS(LAL)), and the total LPS was estimated
from 3-hydroxy fatty acids, which were measured with gas
chromatography-mass spectrometry (GC-MS) (LPS(GC-MS)). Peptidoglycan was
estimated from muramic acid measured with GC-MS. The median (25th to 75th
percentile) concentration of inhalable dust was 21 (16 to 25) mg/m3.
LPS(LAL) was 1.2 (0.9 to 1.4) microg/m3; LPS(GC-MS) was 3.9 (2.5 to 4.9)
microg/m3; and the peptidoglycan concentration in airborne dust was 6.5
(2.7 to 13) microg/m3. All exposure markers correlated significantly with
an increase in serum interleukin-6. LPS(LAL) showed the highest correlation
(r2 = 0.29) and total inhaled dust the lowest (r2 = 0.09). LPS(LAL) also
correlated with symptoms and with an increase in bronchial responsiveness
and decrease in vital capacity (VC). Peptidoglycan, but not LPS(LAL),
correlated with an increase in the blood granulocyte concentration and in
body temperature. The results suggest that several microbial agents in
inhaled swine-house dust may contribute to acute systemic health effects.
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Copyright © 1996 American Thoracic Society
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